Provider Demographics
NPI:1548725609
Name:XIAO, MEIXIAN (LAC)
Entity type:Individual
Prefix:
First Name:MEIXIAN
Middle Name:
Last Name:XIAO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21801 STEVENS CREEK BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-1158
Mailing Address - Country:US
Mailing Address - Phone:408-646-6516
Mailing Address - Fax:
Practice Address - Street 1:21801 STEVENS CREEK BLVD STE 1
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-1158
Practice Address - Country:US
Practice Address - Phone:408-646-6516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-04
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18378171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist